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ANGEL LOVIN' CARE

Custodial Care Facility

Alexandria, Louisiana

Provider NPI: 1720200264

Organization Information:
Organization Name:  ANGEL LOVIN' CARE


Practice Location:
2131 WETTERMARK ST  ALEXANDRIA, LA 71301 US
Tel: 318-445-3141  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
LA311ZA0620X

Other Provider Identifiers:

IssuerNumberStateType
1172197LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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